Shared Picture Book Reading Interventions for Child Language Development: A Systematic Review and Meta-Analysis
Open accessAbstract
Interventions that train parents to share picture books with children are seen as a strategy for supporting child language development. We conducted meta-analyses using robust variance estimation modeling on results from 19 RCTs (Ntotal = 2,594; Mchildage = 1–6 years). Overall, book-sharing interventions had a small sized effect on both expressive language (d = 0.41) and receptive language (d = 0.26). They had a large effect on caregiver book-sharing competence (d = 1.01).
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Claims the paper makes
14 of 77 cited sources checked · 5 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Two studies in an impoverished urban South African township provided strong evidence for the efficacy of dialogic book-sharing in low- and middle-income settings.
“Most recently, two studies conducted in an impoverished urban South African township provided strong evidence for the efficacy of dialogic book-sharing in LMIC settings (Cooper et al., 2014;Vally, Murray, Tomlinson, & Cooper, 2015).”
Quote in the paperNot a substantial claim1 of 2 sources checked - Premisecitation
In socio-economically disadvantaged contexts, caregivers engage in substantially less shared reading with their children.
“in such contexts caregivers engage in substantially less shared reading with their children (Berkule, Dreyer, Huberman, Fierman, & Mendelsohn, 2007;Cooper et al., 2014;Le Roux, 2012).”
Quote in the paperSubstantial claim2 of 3 sources checked- cites Berkule et al., 2007 source
The Discussion (page unavailable) reports prior studies associating reduced income and lower maternal education with less frequent shared reading. But this paper’s own study measured mothers’ plans and resources, not how often they read with their children, and the cited discussion does not establish that the difference was substantial. (LLM, conf=0.82)
Experimental — accuracy not yet measured - cites Cooper et al., 2014 source
- cites Le Roux, 2012
Section 2.3.2 links financial difficulties and lack of books to parents’ limited involvement in children’s reading. The passage discussing Tiemensma (2008:62) also says inadequate social and economic support puts children at risk of never sharing a book with a parent. Neither passage establishes the comparative claim that caregivers in disadvantaged contexts engage in substantially less shared reading. (LLM, conf=0.82)
Experimental — accuracy not yet measured
- Premisecitation
Families facing high adversity are less likely than more advantaged families to use a book-sharing style associated with positive language outcomes.
“families experiencing high levels of adversity are less likely than more advantaged families to use a style of book-sharing associated with positive language outcomes (Berkule et al., 2007;Bornstein & Putnick, 2012;El Moussaoui & Braster, 2011;Van Kleeck, 1998).”
Quote in the paperSubstantial claim3 of 3 sources checked- cites Berkule et al., 2007 source
The Discussion (page not provided) says mothers with lower education or socioeconomic status were less likely to report plans to share books in infancy or to have baby books at home. But the study assessed plans and resources among mothers of newborns, not whether families used a particular book-sharing style or whether that style produced positive language outcomes. (LLM, conf=0.87)
Experimental — accuracy not yet measured - cites Bornstein & Putnick, 2012 source
The Results (Cognitive Caregiving: Deviation from the Grand Mean; page unavailable) report that mothers in low-HDI countries were less likely to read to their children than those in high-HDI countries. The Discussion (Implications for Policy; page unavailable) links more frequent reading with higher reported vocabulary. The paper measures whether reading occurred, not the style of book-sharing, so it does not establish that families facing adversity use a particular style less often. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites El Moussaoui & Braster, 2011 source
In “Reading as a Stimulating Activity Relevant to Cognitive Development” (page unavailable), the paper reports that all mothers who could not read and four less-educated mothers never read to their children, while discussing reading among more-educated mothers. This supports a difference in reading practices by education, but the paper does not establish a difference in book-sharing style by adversity level or link a particular style to positive language outcomes. (LLM, conf=0.78)
Experimental — accuracy not yet measured
- Premisecitation
At least one formal mediation analysis showed that improvements in caregiver book-sharing competence associated with training accounted for much of the improvement in child language.
“There has been at least one formal mediation analysis (Murray et al., 2016) that showed how improvements in caregiver book-sharing competence associated with training accounted for much of the improvement in child language.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Murray et al., 2016 source
- Study design and conductreasoning
In studies relying on parent-reported child language, blinding mattered because awareness of intervention status could skew answers.
“However, for studies that used parent self-report measures of child language (Cronan et al., 1996;Vally et al., 2015), blinding was a potentially important issue because knowledge of having received the intervention could have biased responses.”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites Cronan et al., 1996 source
- cites Vally et al., 2015 source
The Child language section says the study used mothers’ reports to measure child language. The Discussion raises a potential reporting problem: trained carers may have become more aware of their children’s linguistic abilities, rather than the children’s language having improved. It does not specifically attribute possible bias to carers’ knowledge of their intervention status. (LLM, conf=0.82)
Experimental — accuracy not yet measured
- Findingcitation
Many group programs included chances for parents to discuss home book-sharing experiences and barriers.
“Indeed, many of the group-based interventions incorporated opportunities for parents to share their experiences of book-sharing with their children at home as well as discuss perceived barriers and challenges they were experiencing (e.g.Vally et al., 2015;Weisleder et al., 2018).”
Quote in the paperSubstantial claim2 of 2 sources checked- cites Vally et al., 2015 source
The Training section (page unavailable) describes a group-based program with a 20-minute discussion about the book carers would take home, followed by encouragement to practise book-sharing daily. It does not say that carers were invited to share their experiences of book-sharing at home or discuss barriers and challenges. (LLM, conf=0.85)
Experimental — accuracy not yet measured - cites Weisleder et al., 2018 source
- Findingown data
In the meta-analysis, book-sharing interventions produced a small effect on receptive language, with d = 0.26.
“Overall, book-sharing interventions had a small sized effect on both expressive language (d=0.41) and receptive language (d=0.26).”
Quote in the paperSubstantial claim - Findingown data
Child age was not related to child language outcome in the meta-analysis.
“Child age and caregiver education level were unrelated to child outcome.”
Quote in the paperNot a substantial claim - Findingown data
In the meta-analysis, book-sharing interventions produced a small effect on expressive language, with d = 0.41.
“Overall, book-sharing interventions had a small sized effect on both expressive language (d=0.41) and receptive language (d=0.26).”
Quote in the paperSubstantial claim - Findingown data
In the meta-analysis, book-sharing interventions produced a large effect on caregiver book-sharing competence, with d = 1.01.
“They had a large effect on caregiver book-sharing competence (d=1.01).”
Quote in the paperNot a substantial claim - Findingown data
Caregiver education level was not related to child language outcome in the meta-analysis.
“Child age and caregiver education level were unrelated to child outcome.”
Quote in the paperNot a substantial claim - Findingown data
There was some heterogeneity for receptive language (I2=54%).
“There was evidence of some heterogeneity for this outcome (I 2 = 54%).”
Quote in the paperNot a substantial claim - Findingown data
Interactive book sharing had a small effect on improving expressive vocabulary compared to controls (d=0.41, 95% CI 0.20 to 0.61, p<0.001, df=13.44; tau-squared=0.11).
“The pooled analysis suggested evidence (p<0.001) for interactive book sharing having a small sized effect on improving expressive vocabulary when compared to controls (d=0.41,CI: 0.20, 0.61; df: 13.44); tau-squared = 0.11.”
- Also stated in: § Summary of Evidence · hedged
“Overall, evidence of an acceptable quality suggested that, compared to controls, shared reading interventions targeted at parents have a small positive effect on both the expressive (d=0.41) and receptive language (d= 0.26) of children.”
Quote in the paperSubstantial claim - Also stated in: § Summary of Evidence · hedged
- Findingown data
Only four studies provided sufficient information on random sequence generation and qualified as low risk for this dimension.
“Only four studies provided sufficient information on how random sequence generation was handled and qualified as low risk for this dimension.”
Quote in the paperNot a substantial claim - Findingcitation
Another study considered data only from participants who completed post-test assessments despite substantial drop out.
“another considered data only from participants who had completed post-test assessments, even though there had been substantial drop out (Lonigan & Whitehurst, 1998).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Lonigan & Whitehurst, 1998 source
- Findingown data
Egger's plots revealed low asymmetry, indicating low risk of publication bias across studies for all three outcomes.
“The examination of the Egger's plots revealed low asymmetry, representing low risk of bias across studies for all three outcomes.”
Quote in the paperNot a substantial claim - Findingown data
The search yielded 19 RCTs from 20 papers that met inclusion criteria.
“The search yielded a total of 19 RCTs (from 20 papers) that met the inclusion criteria.”
Quote in the paperSubstantial claim - Findingown data
Interactive book-sharing interventions had a small effect on improving receptive vocabulary compared to controls (d=0.26, 95% CI 0.12 to 0.40, p=0.001, df=11.28; tau-squared=0.03).
“The pooled result of the robust variance estimation meta-analysis suggested evidence (p=0.001) for interactive book-sharing interventions having a small sized effect in improving receptive vocabulary when compared to controls (d=0.26;CI: 0.12, 0.40; df: 11.28); tau-squared = 0.03.”
- Also stated in: § Summary of Evidence · hedged
“Overall, evidence of an acceptable quality suggested that, compared to controls, shared reading interventions targeted at parents have a small positive effect on both the expressive (d=0.41) and receptive language (d= 0.26) of children.”
Quote in the paperSubstantial claim - Also stated in: § Summary of Evidence · hedged
- Findingreasoning
Attrition and incomplete outcome data represented a source of bias in two included studies.
“Attrition and incomplete outcome data represented a source of bias in two of the included studies (Arnold et al., 1994;Lonigan & Whitehurst, 1998).”
Quote in the paperNot a substantial claim0 of 2 sources checked - Findingown data
Group-based delivery was linked to greater expressive language improvement than individual delivery (B=0.47, 95% CI 0.17 to 0.77, p<0.01).
“For modality, there was evidence (p<0.01)that, compared to individually delivered interventions, group-based interventions were associated with more improvement in both expressive language (B=0.47;CI: 0.17, 0.77; p<0.01) and receptive language (B=0.30;CI: 0.06, 0.54; p=0.02).”
Quote in the paperNot a substantial claim - Findingown data
There was considerable heterogeneity between studies for expressive language (I2=72%).
“However, there was evidence of considerable heterogeneity between studies (I 2 = 72%).”
Quote in the paperNot a substantial claim - Findingown data
For receptive language, medium-to-high intensity showed a non-significant trend toward better outcomes (B=0.21, 95% CI -0.07 to 0.49, p=0.11).
“For receptive language outcomes, medium to high intensity interventions were also associated with somewhat better outcomes (B=0.21;CI: -0.07, 0.49), however, this relation was not significant (p=0.11).”
Quote in the paperNot a substantial claim - Findingown data
Across the included studies, 2,594 infant-caregiver dyads participated.
“The included studies involved 2,594 participating infant-caregiver dyads.”
Quote in the paperNot a substantial claim - Findingown data
Receptive language effects did not vary by country income level.
“and there was no evidence that country income level moderated the effect of the intervention on receptive language.”
Quote in the paperNot a substantial claim - Findingown data
There was considerable heterogeneity for caregiver competence (I2=81%).
“For this outcome there was also considerable evidence of heterogeneity (I 2 = 81%).”
Quote in the paperNot a substantial claim - Findingown data
For overall caregiver competence outcomes, 6 studies provided 15 effect sizes on data from 481 caregivers.
“For overall caregiver competence outcomes, 6 of the studies provided a total of 15 effect sizes on data from 481 caregivers.”
Quote in the paperNot a substantial claim - Findingown data
For overall expressive language outcomes, 16 studies provided 35 effect sizes with data from 1,664 children.
“For overall expressive language outcomes, 16 studies provided a total of 35 effect sizes with data from 1664 children.”
Quote in the paperSubstantial claim - Findingown data
For overall receptive language outcomes, 16 studies provided 24 effect sizes on data from 1,871 children.
“For overall receptive language outcomes, 16 of the studies provided a total of 24 effect sizes on data from 1871 children.”
Quote in the paperSubstantial claim - Findingown data
Interactive book sharing interventions had a large effect on improving caregiver book sharing competence compared to controls (d=1.01, 95% CI 0.40 to 1.63, p=0.009, df=4.79; tau-squared=0.29).
“The pooled result of the robust variance estimation meta-analysis provided evidence (p=0.009) for interactive book sharing interventions having a large sized effect in improving caregiver book sharing competence when compared to controls (d=1.01;CI: 0.40, 1.63; df: 4.79); tau-squared = 0.29.”
- Also stated in: § Summary of Evidence · plain
“However, for the six studies that did provide relevant data, a large effect size (d=1.01)was observed for the pooled effect on caregiver book-sharing competence.”
Quote in the paperSubstantial claim - Also stated in: § Summary of Evidence · plain
- Findingown data
Weak evidence (p=0.07) linked medium-to-high intensity to better expressive language than low intensity (B=0.33, 95% CI -0.04 to 0.71).
“There was weak evidence (p=0.07) that medium to high intensity interventions were associated with improved expressive language when compared with low intensity (B=0.33;CI: -0.04, 0.71).”
Quote in the paperNot a substantial claim - Findingown data
Outcome assessment had high risk of bias in four studies because assessors lacked sufficient blinding to allocation.
“Four studies were at high risk of bias with respect to outcome assessment, as the assessors were not sufficiently blinded to group allocation.”
Quote in the paperNot a substantial claim - Findingcitation
For one study, there was too little information to judge whether missing data were problematic.
“One study provided insufficient information to determine whether missing data could have been problematic (Arnold et al., 1994)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Arnold et al., 1994 source
- Findingown data
There was considerable variation in the dose of included interventions.
“There was considerable variation in the dose of the included interventions.”
Quote in the paperNot a substantial claim - Findingown data
Nineteen RCTs met the review's inclusion criteria.
“A total of 19 RCTs were identified that met the inclusion criteria.”
Quote in the paperSubstantial claim - Findingown data
The included studies employed a broad range of language measures.
“A fourth limitation is that a wide variety of language measures were used in the included studies.”
Quote in the paperNot a substantial claim - Findingown data
The analysis suggests a dose effect: short interventions are unlikely to improve children's language abilities.
“this analysis suggests that there is a dose effect, with brief interventions being unlikely to result in improvements in children's language abilities.”
Quote in the paperSubstantial claim - Findingown data
Group-based delivery was linked to greater receptive language improvement than individual delivery (B=0.30, 95% CI 0.06 to 0.54, p=0.02).
“For modality, there was evidence (p<0.01)that, compared to individually delivered interventions, group-based interventions were associated with more improvement in both expressive language (B=0.47;CI: 0.17, 0.77; p<0.01) and receptive language (B=0.30;CI: 0.06, 0.54; p=0.02).”
Quote in the paperNot a substantial claim - Findingreasoning
Only a small number of the reviewed studies reported outcomes after the immediate post-test.
“few provide any findings on outcome beyond the immediate post-intervention assessment”
Quote in the paperNot a substantial claim - Findingown data
Among all reviewed studies, the Goldfeld trial had the shortest intervention.
“this study involved the briefest intervention of all studies included in this review”
Quote in the paperSubstantial claim - Findingnone given
The reviewed studies mostly enrolled only typically developing children.
“the studies in this review primarily included only typically developing children.”
Quote in the paperSubstantial claim - Findingown data
Goldfeld and colleagues (2012) were the sole study to assess children more than twelve months after the intervention.
“The only study to follow up with children more than a year following the intervention was Goldfeld and colleagues (2012)”
Quote in the paperSubstantial claim - Findingown data
There was insufficient data to explore country income level in relation to expressive language.
“There was insufficient data to explore this issue in relation to expressive language.”
Quote in the paperNot a substantial claim - Findingown data
In contrast to earlier suggestions, the analysis found equal benefit for younger and older preschool children.
“contrary to previous suggestions, the current analysis indicates that young and older pre-school children benefit equally from these interventions.”
Quote in the paperSubstantial claim - Findingown data
Over half of the included studies took place in the United States.
“More than half were conducted in the United States”
Quote in the paperSubstantial claim - Findingown data
The Goldfeld trial yielded one of the smallest immediate effects on child language.
“it produced one of the smallest post-intervention effects on child language”
Quote in the paperSubstantial claim - Findingown data
The interventions were effective across diverse settings and delivery modes.
“These interventions show efficacy across a variety of settings and modalities”
Quote in the paperSubstantial claim - Findingnone given
Tentative evidence suggests group-based interventions outperform one-on-one interventions.
“given the tentative evidence that group-based interventions are more effective than one-on-one interventions”
Quote in the paperNot a substantial claim - Findingown data
The analysis identified intervention dosage as an important factor.
“Intervention dosage was revealed to be an important factor in the current analysis.”
Quote in the paperNot a substantial claim - Findingown data
Implementation fidelity was rarely reported in the reviewed studies.
“Such reporting was a rarity in the studies reviewed.”
Quote in the paperNot a substantial claim - Findingown data
Subgroup analyses did not fully explain the statistical heterogeneity seen across all three outcomes.
“despite exploration (by means of subgroup analyses) the observed statistical heterogeneity for all three outcomes remain somewhat unexplained.”
Quote in the paperNot a substantial claim - Findingown data
Just one study used an appropriate mediation analysis to test whether book-sharing competence affected child language.
“While this is encouraging, only one study reported the appropriate meditational analysis to establish the impact of book-sharing competence on child language.”
Quote in the paperNot a substantial claim - Findingown data
The analysis found that book-sharing interventions can work equally well for caregivers with low and high education levels.
“the current analysis indicates that book-sharing interventions can be equally effective when targeted at caregivers with low and high levels of education.”
Quote in the paperSubstantial claim - Findingown data
The model somewhat favoured LMICs (B=-0.15).
“Indeed, the model somewhat favoured LMICs (B= -0.15).”
Quote in the paperNot a substantial claim - Findingown data
Short interventions did not significantly affect child language outcomes.
“Indeed, the brief interventions had no significant impact on child language outcomes.”
Quote in the paperSubstantial claim - Findingown data
Every study in the review measured children before the intervention and immediately after it.
“While all studies included both pre-intervention and immediate post-interventions assessments”
Quote in the paperNot a substantial claim - Findingown data
Caregiver post-school education was unrelated to child language outcomes.
“Similarly, whether carers did or did not have post-school education did not bear on child language outcomes.”
Quote in the paperSubstantial claim - Premisecitation
A small number of controlled studies of video-based programs found improvements in intervention children's expressive and receptive vocabularies compared with controls.
“A small number of controlled studies evaluating video based programs have shown success in improving the expressive and receptive vocabularies of intervention children compared to controls (High, LaGasse, Becker, Ahlgren, & Gardner, 2000;Sharif, Rieber, Ozuah, & Reiber, 2002)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites High et al., 2000 source
- cites Sharif et al., 2002
- Interpretationown data
The review and meta-analysis supports the promise of book-sharing interventions for enhancing and accelerating child language development.
“This review and meta-analysis confirms the promise of book-sharing interventions for enhancing and accelerating child language development.”
Quote in the paperSubstantial claim - Premisecitation
In socio-economically disadvantaged contexts, families are less likely to have access to books and learning materials.
“in contexts of socio-economic adversity, families are less likely to have access to books and learning materials (Le Roux, 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Le Roux, 2012
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation
Parents do not always use the most effective techniques to support their child's development during book-sharing.
“parents do not always use the most effective techniques to support their child's development in the book-sharing context (Ninio, 1980;Weigel, Lowman, & Martin, 2007).”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Whitehurst and colleagues were the first to formalize a set of dialogic book-sharing techniques based on this principle.
“Whitehurst and colleagues (1994;1988) were the first to formalize a set of dialogic book-sharing techniques based on this principle.”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
In Arnold et al. (1994), children in the intervention group acquired better expressive and receptive language than control group children.
“The children in the intervention group acquired better expressive and receptive language than control group children (Arnold et al., 1994).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Arnold et al., 1994 source
- Premisecitation
Frequency of shared reading is a strong predictor of language development.
“metaanalytic data have shown that frequency of shared reading is a strong predictor of language development (Bus, Van Ijzendoorn, & Pellegrini, 1995).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bus, Van Ijzendoorn, & Pellegrini, 1995 source
- Premisecitation
In a rural Bangladesh preschool classroom-based intervention for five-year-olds, index children showed significantly improved expressive vocabulary compared with controls.
“A second trial carried out in rural Bangladesh evaluated a preschool classroom-based intervention for five year olds, with index children also showing significantly improved expressive vocabulary compared to controls (Opel, Ameer, & Aboud, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Opel, Ameer, & Aboud, 2009 source
- Premisecitation
Interactive book-sharing facilitates caregiver engagement in decontextualized talk, where discussion extends beyond the book to concepts novel to the child.
“Finally, interactive book-sharing facilitates caregiver engagement in 'decontextualized talk', where the discussion extends beyond the content or pictures in the book to concepts that are novel and unfamiliar to the child (Lonigan & Whitehurst, 1998).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lonigan & Whitehurst, 1998 source
- Study design and conductreasoning
Blinding of participants was largely unproblematic for the review because young children or infants were assessed and were not aware of the intervention their parents had received.
“Blinding of participants was largely unproblematic for the purposes of the current review, as young children or infants were being assessed and were not aware of the intervention their parents had received.”
Quote in the paperNot a substantial claim - Premisecitation
A small pilot RCT in South Africa of weekly group book-sharing training over eight weeks with carers of 14- to 18-month-olds showed benefits to carer book-sharing skills and child attention and language outcomes.
“A small pilot RCT (Cooper et al., 2014) of weekly group book-sharing training over eight weeks, with carers of 14 to 18 month olds, showed benefits to carer booksharing skills and to child attention and language outcomes.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Cooper et al., 2014 source
- Premisecitation
The robust variance estimation approach permits any number of dependent effect size estimates in one analysis.
“This approach allows for the inclusion of any number of dependent effect size estimates within a single analysis.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hedges, Tipton, & Johnson, 2010 source
- Study design and conductcitation
The meta-analysis used robust variance estimation to account for multiple dependent effect sizes per study/outcome or multiple intervention arms.
“A robust variance estimation meta-analysis model was chosen as the most suitable approach for the analysis to account for multiple effect sizes per study per outcome, or multiple intervention arms (Hedges, Tipton, & Johnson, 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hedges, Tipton, & Johnson, 2010 source
- Premisecitation
The age group of one to six years was chosen because previous research linked book-sharing in the first six years to language development, emergent literacy, and reading achievement.
“This specific age group was chosen in line with the findings of previous research that suggested that book-sharing, particularly in the first six years of life, was related to language development, emergent literacy, and reading achievement (Bus et al., 1995).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bus et al., 1995 source
- Interpretationown data
This analysis offers preliminary evidence that the interventions may apply globally.
“However, the current analysis provides important preliminary evidence for the global applicability of these interventions.”
Quote in the paperSubstantial claim - Interpretationreasoning
The differences in effects found between expressive and receptive language may be a result of variability in how these skills were measured, rather than reflecting actual differences in children's capacities.
“Thus, the differences in effects found may be a result of variability in how these skills were measured, rather than reflecting any actual differences in the children's capacities.”
Quote in the paperSubstantial claim - Interpretationreasoning
Caregiver book-sharing competence measures can help explain how child language gains occur.
“Measures of improvement in caregiver book-sharing competence provide a means of understanding how improvement in child language might be effected.”
Quote in the paperSubstantial claim - Interpretationnone given
No prior systematic review and meta-analysis has focused specifically on randomized trials of caregiver-directed book-sharing.
“The current study is the first systematic review and meta-analysis of caregiverdirected book-sharing interventions focusing specifically on randomized trials.”
Quote in the paperNot a substantial claim - Interpretationown data
This concentration of studies in the United States restricts generalizability.
“which further limits generalizability”
Quote in the paperSubstantial claim - Premisecitation
The Goldfeld et al. (2012) trial reported no lasting effect of the intervention.
“who found no long term impact of the intervention”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Goldfeld and colleagues (2012)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationreasoning
This variation in assessment contributed heterogeneity to the results.
“this variability in assessment introduced heterogeneity into the results.”
Quote in the paperNot a substantial claim - Interpretationown data
Programs with multiple sessions and longer instructor-caregiver contact are very likely to improve child language.
“Interventions involving multiple sessions, on the other hand, with extended contact time between the instructor and caregiver, are highly likely to result in improvements to child language.”
Quote in the paperSubstantial claim - Premisecitation
Confirmatory factor analysis research indicates that expressive and receptive vocabulary may form one construct.
“However, recent research using confirmatory factor analysis on multiple measures of language, suggests that expressive and receptive vocabulary are best conceptualised as a single construct (Lonigan & Milburn, 2017).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lonigan & Milburn, 2017 source
- Study design and conductown data
Information on allocation concealment was missing from many included studies (k=10).
“and about allocation concealment (k=10)”
Quote in the paperNot a substantial claim - Interpretationreasoning
The null long-term result from the Goldfeld trial should not be taken as a valid indication of dialogic book-sharing's long-term effects.
“an absence of a long-term impact so an absence of a long-term impact cannot be regarded as a valid reflection of the long-term impact of dialogic book-sharing.”
Quote in the paperSubstantial claim - Interpretationreasoning
Short programs may waste resources if they do not change caregiver book-sharing behavior enough.
“Brief interventions do not therefore appear to be an efficient use of resources, possibly because they fail to effect the necessary change in caregiver book-sharing behavior.”
Quote in the paperSubstantial claim - Interpretationown data
This meta-analysis of RCTs indicates that book-sharing interventions hold promise for improving child language, at least immediately after intervention.
“The current meta-analysis of RCTs on booksharing interventions demonstrates the promise of such interventions for enhancing child language development, at least in the short term.”
Quote in the paperSubstantial claim - Study design and conductown data
Information on random sequence generation was missing from many included studies (k=12).
“many of the included studies lacked information about the random sequence generation used (k=12)”
Quote in the paperNot a substantial claim
- Classified as probably not a substantial claim. 49
- May combine two claims. 48
- The quote only partly states this claim. 1
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationPublication bias was assessed by plotting each trial's effect against standard errors, creating one effect size per study per outcome.
“To assess risk of publication bias, we plotted each trial's effect against the standard errors (Sterne et al., 2011), creating a single effect size per study per outcome.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Sterne et al., 2011 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEarly developmental and language deficits are concentrated in low- and middle-income countries, especially Sub-Saharan Africa and Asia.
“This is a particularly important question, given that the burden of early developmental and language deficit falls in LMICpredominantly in Sub-Saharan Africa and Asia (Black et al., 2017).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Black et al., 2017 source
The section “Estimates of children at risk of not attaining developmental potential” (page unavailable) reports a large burden among children under 5 in LMICs, a high prevalence in sub-Saharan Africa, and a large number at risk in South Asia. It measures risk using stunting and extreme poverty, however, rather than establishing the geographic distribution of observed developmental or language deficits; it also specifies South Asia, not Asia generally. (LLM, conf=0.87)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAn estimated more than 250 million children are at risk of not reaching their developmental potential.
“it is estimated that in excess of 250 million children are at risk of failing to meet their developmental potential (Black et al., 2017).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Black et al., 2017 source
The section ‘Estimates of children at risk of not attaining developmental potential’ reports that 249.4 million children under 5 in low- and middle-income countries were at risk in 2010. This supports the approximate scale of the claim, but not ‘in excess of 250 million’; the section’s higher estimate of 279.1 million refers to 2004. (LLM, conf=0.88)
Experimental — accuracy not yet measured
May combine two claims.
PremisecitationMurray et al. (2016) reported that caregiver sensitivity gains mediated receptive language effects, while caregiver-child reciprocity mediated effects on both expressive and receptive language (and focal attention).
“Murray and colleagues (2016) found that improvements in caregiver sensitivity during book-sharing significantly mediated the impact of the intervention on receptive language, while improvements in caregiver-child reciprocity during book-sharing mediated the impact of the intervention on both child expressive language and receptive language (and child focal attention).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Murray et al., 2016 source
May combine two claims.
Findingown dataThe effect of book-sharing intervention on child language was moderated by intervention dosage, and lower dosage was linked to minimal impact.
“The impact of the intervention on child language was moderated by intervention dosage, with lower dosage associated with a minimal impact.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataMost studies (k=14) used blind assessors, so outcome assessment was generally well blinded.
“Outcome assessment was generally well blinded, with the majority of studies (k=14) having blind assessors.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataDetails on allocation concealment were often insufficient; 10 studies had unclear risk of bias.
“Allocation concealment was often not reported in sufficient detail: 10 studies were judged as having an unclear risk of bias.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataMost interventions (k=15) were delivered in person.
“The majority of interventions (k=15) were carried out in-person.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAll studies reported on typically developing children only, except Dale (1996) and Towson (2014), who included children with mild to moderate language delays and special education needs respectively.
“All studies reported on typically developing children only, apart from Dale (1996) and Towson (2014), who included children with mild to moderate language delays and with special education needs respectively.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Dale, 1996 source
- cites Towson, 2014
May combine two claims.
Findingown dataIn the medium-to-high intensity group, receptive language showed d=0.34 (95% CI 0.17 to 0.50, p=0.002); in the low-intensity group, d=0.09 (95% CI -0.25 to 0.45, p=0.37).
“Similarly, for those receiving medium to high intensity interventions, the effect size for receptive language was d=0.34 (CI: 0.17,0.50,p=0.002): and for those receiving low intensity interventions it was d=0.09 (CI: -0.25, 0.45; p=0.37).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims. The quote only partly states this claim.
Findingown dataAccording to the caregiver education categorization, eight studies had majority tertiary education, 10 did not, and one did not report caregiver education.
“According to this categorization, eight studies had caregivers with majority tertiary education and 10 studies without this level of caregiver education.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
FindingcitationA single study delivered the intervention through a 20-minute instructional phone call.
“One study administered the intervention in a 20-minute instructional phone call (Wing-Yin Chow & McBride-Chang, 2003).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Wing-Yin Chow & McBride-Chang, 2003 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe systematic search yielded 6,448 eligible studies after duplicates were removed.
“In total, the search yielded 6,448 eligible studies, after duplicates had been removed.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the medium-to-high intensity group, expressive language showed d=0.54 (95% CI 0.26 to 0.82, p=0.002); in the low-intensity group, d=0.19 (95% CI -0.10 to 0.50, p=0.15).
“For those receiving medium to high intensity interventions, the effect size for expressive language was d = 0.54 (CI: 0.26, 0.82; p=0.002), whereas for those receiving the low intensity interventions it was d=0.19 (CI:-0.10,0.50; p=0.15).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataJust over half of the interventions (10 of 19 studies) involved multiple sessions with training time exceeding 60 minutes with caregivers.
“Just over half of the interventions (i.e. 10 out of the 19 studies) involved multiple sessions with training time in excess of 60 minutes with caregivers.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataThe search identified 6,411 studies via electronic search and 37 by hand searching reference lists of prior reviews and recent evaluation studies.
“Of these, 6,411 were identified via the electronic search and a further 37 by hand searching the reference lists of the two relevant prior reviews and meta-analyses (Bus et al., 1995;Mol et al., 2008) as well as recent evaluation studies.”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThree interventions were administered in video format.
“Three of the interventions were administered in video format.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataEgger's tests were non-significant for expressive language (t=1.73, p=0.11), receptive language (t=1.22, p=0.24), and caregiver competence (t=2.08, p=0.11).
“This held across all three outcomes: expressive language (t= 1.73; p=0.11), receptive language (t=1.22;p=0.24), and caregiver competence (t=2.08;p=0.11).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
FindingcitationChild age at study start ranged from 8.85 months to 66 months.
“Child age at the start of the studies ranged from 8.85 months (Goldfeld et al., 2012) to 66 months (Sim et al., 2014).”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataOf included studies, 11 were conducted in the United States; the remaining eight were in other high-income countries and middle-income countries.
“Of the included studies, 11 were conducted in the United States, while the remaining eight studies were distributed across other high-income countries (including two each in Hong Kong and Australia) and middle-income countries (South Africa (two), Brazil, Turkey).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataModerator analyses with age as a continuous variable produced very similar non-significant results.
“For clarity, moderator analyses were also run with age as a continuous variable (in years).These produced very similar non-significant results.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataSix studies reported caregiver competence outcome data.
“Outcome data on caregiver competence were reported in six studies.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataNo clear moderation of expressive or receptive language effects was found for child age or caregiver education.
“There was no clear evidence that child age or caregiver education moderated the effect of the intervention on either expressive or receptive language outcomes”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataReporting of socio-demographic variables varied widely, precluding construction of a socioeconomic status variable; the data indicated SES was essentially co-extensive with parental education, which was more reliably reported.
“Reporting varied widely with regard to socio-demographic variables, which precluded the construction of a socioeconomic status variable (but the data indicated that socio-economic status was essentially co-extensive with parental education, which was more reliably reported).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere was no evidence that country income level was associated with child receptive language; interventions were just as effective in LMIC as in HIC.
“There was no evidence for country income level having any association with child receptive language: the interventions were just as effective in LMIC as they were in HIC.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the 10 longer-duration studies (over 90 minutes), effect sizes were d=0.54 for expressive and d=0.34 for receptive language.
“When only the 10 studies with longer duration of intervention (i.e., over 90 minutes) were considered, these effect sizes were d=0.54 and d=0.34 respectively.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningGroup delivery outperformed individual delivery on both child language outcomes.
“A potentially important finding was that group-based interventions were more effective than one-on-one interventions for both child language outcomes.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFew studies reported caregiver book-sharing competence outcomes, which precluded a formal subgroup analysis of implementation fidelity.
“Unfortunately, few studies reported on such outcomes, which precluded a formal subgroup analysis of implementation fidelity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataMore intensive caregiver participation was linked to significantly greater expressive language gains; a similar trend appeared for receptive language.
“children benefitted significantly more in their expressive language when their caregivers had taken part in a more intensive intervention; and there was a trend for the same association for child receptive language.”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningThe interventions took diverse forms, producing a degree of clinical heterogeneity.
“The interventions, while all sharing certain common messages to help parents optimise shared reading practice, came in a variety of forms, which meant that there was a degree of clinical heterogeneity present, reflecting this variability.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningBoth clinical and statistical heterogeneity existed among the included studies.
“clinical and statistical heterogeneity were present within the set of included studies.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataChild age did not predict gains in expressive or receptive language; benefit was no different for those younger or older than 3 years.
“Contrary to an earlier suggestion (Mol et al., 2008), we did not find child age to be related to improvements in either expressive or receptive language: the extent to which language skills benefitted was no different for those younger or older than 3 years.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mol et al., 2008 source
May combine two claims.
Findingnone givenNearly all of those language measures were standardized and well validated.
“Although almost all of these were standardized and well validated instruments”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataExcluding the Goldfeld (2012) study left the overall pattern unchanged, but receptive language became non-significant (p=0.12).
“The results when this study was excluded did not alter the overall pattern of the findings, however the result for receptive language was no longer statistically significant (p=0.12).”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationVideo-based book-sharing programs have been associated with increased frequency of book sharing and caregiver enjoyment.
“as well as an increase in the frequency of book sharing and caregiver enjoyment (Golova, Alario, Vivier, Rodriguez, & High, 1999).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Golova et al., 1999 source
May combine two claims.
PremisecitationThe 'Read together talk together' instructional video, evaluated in a small-scale RCT in Australia, showed positive effects on parental book-sharing techniques and child language.
“It revealed positive effects on both parental book-sharing techniques and child language (Blom-Hoffman et al., 2006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Blom-Hoffman et al., 2006 source
May combine two claims.
PremisecitationDuring shared reading, compared with activities such as play or meals, mothers tend to label objects more often and children receive more consistent and informative feedback.
“during shared reading mothers tend to label objects more frequently and children are provided with more consistent and informative feedback (Snow & Goldfield, 1983;Wells, 1985).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Snow & Goldfield, 1983 source
- cites Wells, 1985
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim.
PremisecitationSharing books with young children has been regarded as a particularly effective way to scaffold young children's cognition and language.
“This has been considered a particularly effective technique for scaffolding a young child's cognition and language (Van Kleeck, 1998)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Van Kleeck, 1998 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationChildren's picture books have specific features that make them an especially powerful vehicle for language learning.
“children's picture books embody specific features that make them an especially powerful vehicle for language learning (Murray, 2014).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Murray, 2014
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationDialogic techniques include asking open-ended questions that go beyond the book content and giving encouragement and praise for child participation.
“Importantly, what distinguishes these techniques from simply reading to a child is the interactive quality and use of evocative behaviors.This includes asking open-ended questions that extend beyond the content of the book, and providing encouragement and praise for child participation (Lonigan & Whitehurst, 1998;Whitehurst et al., 1988).”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationIn a Mexico kindergarten-based programme for two-year-olds, intervention children showed significantly better expressive and receptive vocabulary and longer, more complex sentences than a no-intervention control group.
“Compared to a no intervention control group, children in the intervention group demonstrated significantly better expressive and receptive vocabulary following training, as well as the use of longer and more complex sentences.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Valdez-Menchaca & Whitehurst, 1992 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationVideo formats have been effective in delivering other parenting programs.
“Video formats have proven effective in the delivery of other parenting programs (Webster-Stratton, 1984).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Webster-Stratton, 1984 source
May combine two claims.
Premisenone givenMost research and evaluation of book-sharing interventions has occurred in the U.S. and other high-income countries, with very little in low- and middle-income countries.
“Most research and evaluation of book-sharing interventions has taken place in the U.S. and other high-income countries.There has been very little research on book-sharing conducted in low and middle income countries (LMICs).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationDialogic techniques differ from simply reading to a child by their interactive quality and use of evocative behaviors.
“Importantly, what distinguishes these techniques from simply reading to a child is the interactive quality and use of evocative behaviors.This includes asking open-ended questions that extend beyond the content of the book, and providing encouragement and praise for child participation (Lonigan & Whitehurst, 1998;Whitehurst et al., 1988).”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationThe registered protocol specified child socio-emotional outcomes as a secondary outcome, but a recent meta-analysis focused directly on that question, making the analysis redundant.
“While this registered protocol also specified assessment of child socio-emotional outcomes as a secondary outcome, a recent meta-analysis (Xie, Chan, Ji, & Chan, 2018) focussed directly on this question, rendering this analysis redundant.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Xie, Chan, Ji, & Chan, 2018 source
May combine two claims.
Premiseown dataBus et al. (1995) included only cross-sectional observational research and did not consider intervention studies.
“Importantly, however, this review included only cross-sectional observational research and did not consider intervention studies.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bus et al., 1995 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMol et al. (2008), a meta-analysis of 16 studies, reported an overall effect of dialogic reading interventions on child vocabulary outcomes of d = 0.42, CI 0.30 to 0.53.
“This review reported an overall effect of dialogic reading interventions on child vocabulary outcomes of d=0.42,CI: 0.30, 0.53.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mol et al., 2008 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataTwo reviewers extracted data independently, and discrepancies were resolved through discussion with a third reviewer.
“Two reviewers (ND and LH) extracted data independently into excel and discrepancies were identified and resolved through discussion with a third reviewer (GM).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationEgger's regression asymmetry tests were used to quantify visible bias.
“We used Egger's regression asymmetry tests to quantify any visible bias (Egger, Smith, Schneider, & Minder, 1997).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Egger, Smith, Schneider, & Minder, 1997 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenReference lists of known RCTs and previous relevant reviews were scanned for further studies.
“Reference lists of known RCTs, as well as previous relevant reviews, were scanned for further studies that may have been missed in the initial electronic search.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductreasoningFor cluster-randomized trials, sample size was reduced to effective sample size using the intra-cluster correlation coefficient to account for the design effect.
“To account for the design effect, the sample size of cluster-randomized trials was reduced to the effective sample size by using the intra-cluster correlation coefficient.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMol et al. (2008) found that younger preschool children (2-3 years) benefited more from parental interventions than older kindergarten children (4-5 years), with d = 0.50 and 0.14 respectively.
“It also showed, as had the review of observational studies by Bus and colleagues (1995), the importance of child age, with younger, preschool children (2-3 year olds) benefitting more from these parental interventions than older children in kindergarten (4-5 year olds) (i.e.d= 0.50 and 0.14 respectively).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mol et al., 2008 source
Classified as probably not a substantial claim. May combine two claims.
Study design and conductnone givenArticles were independently screened by two researchers and sequentially excluded according to eligibility criteria.
“Articles were independently screened by two researchers (ND and LH) and sequentially excluded according to the eligibility criteria.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductown dataA comprehensive search strategy was applied to PsycINFO and adapted for MEDLINE, EMBASE, ERIC, Education abstracts, CENTRAL, and CINAHL.
“We used a comprehensive search strategy in order to search an extensive range of relevant electronic databases systematically.The search was applied to PsycINFO, and then adapted for each of the following databases: MEDLINE, EMBASE, ERIC, Education abstracts (H.W. Wilson), Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductreasoningA sensitive literature search was used to avoid overlooking potentially important studies.
“Since initial background reading suggested that there were not many relevant RCTs, we opted for a sensitive literature search in order not to overlook any potentially important studies (Petticrew & Roberts, 2006).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Petticrew & Roberts, 2006 source
May combine two claims.
Study design and conductreasoningThe present study used robust variance estimation, which permitted inclusion of all relevant effect sizes in each meta-analysis.
“Finally, the present study used robust variance estimation, a relatively novel application for meta-analysing data, which permitted the inclusion of all relevant effect sizes in each meta-analysis.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe search strategy used multiple sensitive searches reflecting different elements of the primary question.
“The search strategy made use of multiple sensitive searches that reflect the different elements of the primary question.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductcitationThe Cochrane Handbook risk-of-bias tool was applied to all included studies.
“The Cochrane Handbook (Higgins & Green, 2011) risk-of-bias tool was applied to all included studies.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Higgins & Green, 2011
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe authors pre-specified five subgroup meta-regression analyses.
“Five subgroup meta-regression analyses were pre-specified.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataA protocol was submitted to the PROSPERO registry with child language as the primary outcome.
“A protocol was submitted to the PROSPERO registry for systematic reviews (CRD number: 42017057258) with child language as the primary outcome.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenA tailored data extraction form based on Cochrane Handbook recommendations was developed.
“A tailored data extraction form (based on the Cochrane Handbook recommendations) was developed in order to obtain all the necessary information from the included studies.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductcitationThe analysis did not ignore appropriate outcomes, did not make arbitrary decisions about the most appropriate outcome, and did not create synthetic average effect sizes within studies.
“This approach meant that we did not ignore any appropriate outcomes, or make arbitrary decisions about the 'most appropriate' outcome that matched our criteria, or create synthetic average effect sizes within single studies (Tanner-Smith & Tipton, 2014).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Tanner-Smith & Tipton, 2014 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenNo publication date or publication status restrictions were imposed.
“No publication date, or publication status restrictions were imposed.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationIt has been a decade since the last review of book-sharing interventions on language development was published, and several randomized trials have been conducted since then.
“It has been a decade since the last review of the impact of book-sharing interventions on language development was published (Mol et al., 2008), and several randomized trials have been conducted since then.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mol et al., 2008 source
Classified as probably not a substantial claim.
PremisecitationPrevious reports indicate parental education may affect whether the intervention is delivered with fidelity.
“Second, studies were categorised according to parental education level because of previous reports that parental education may bear on whether the intervention is delivered to the child with fidelity (Mol et al., 2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mol et al., 2008 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenFive pre-specified subgroup analyses on primary outcomes were planned, conditional on sufficient studies for meta-regression.
“We planned to conduct five pre-specified subgroup analyses on primary outcomes, provided that there were sufficient studies available for a meta-regression analysis.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe effects in Bus et al. (1995) were independent of family socioeconomic status.
“These effects were independent of family socioeconomic status.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bus et al., 1995 source
Classified as probably not a substantial claim.
PremisecitationStarting intervention earlier in childhood is linked to larger child outcome gains than starting later.
“For child age, based on indications that intervening early in a child's life is associated with greater improvement in child outcome than later intervention (Mol et al., 2008), child age was dichotomized at the most common point of preschool attendance: those with mean child age at base-line of less than 36 months (younger) and those with mean child age of 36 months or greater (older).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Mol et al., 2008 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenExpressive language, receptive language, and caregiver book-sharing competence were analysed separately.
“Expressive language, receptive language and caregiver book-sharing competence were all analysed separately.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataDisagreements over study eligibility were resolved through discussion with a third reviewer.
“Any disagreements between them over the eligibility of particular studies were resolved through discussion with a third reviewer (PC).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationBus et al. (1995), a meta-analysis of 29 studies, found an overall medium effect size of d = 0.59 on combined language and literacy outcomes.
“This revealed an overall medium effect size of d=0.59 on the collective language and literacy outcomes (Bus et al., 1995).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bus et al., 1995 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe Cochrane Risk of Bias Tool was used to evaluate risk of bias within included studies.
“The Cochrane Risk of Bias Tool was used to evaluate the risk of bias within the included studies.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenPRISMA reporting guidelines were followed.
“PRISMA guidelines of reporting were followed.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenTwo reviewers assessed each study for risk of bias, and discrepancies were resolved through discussion with a third reviewer.
“Two reviewers assessed each study for risk of bias (ND and LH) and any discrepancies were resolved through discussion involving a third reviewer (PC).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningIt is surprising that so few evaluations of book-sharing have been carried out in LMICs given that book-sharing programs are inexpensive and easily delivered relative to other ECD interventions.
“Given that, relative to other more comprehensive ECD interventions, book-sharing programs are inexpensive and can be easily delivered, it is surprising that so few evaluations of booksharing have been carried out in LMICs.”
Quote in the paperNot a substantial claim- Rests on an assumption: Book-sharing programs cost little and are easy to deliver compared with other early childhood development interventions.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningOne explanation is that group delivery provides caregivers with greater social support.
“A possible explanation is that the group format offers more social support to participating caregivers.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningIn low- and middle-income countries, interactive book-sharing could produce substantial gains in early language and possibly broader development.
“In these settings, interactive book-sharing interventions have the potential to bring about marked, positive effects on children's early language development and, possibly, their wider developmental progress.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataThe group-based modality findings should be interpreted with caution because few studies used one-on-one delivery and two of the five individual-delivery studies were very low intensity.
“However, these findings should be interpreted with caution, given the limited number studies that used a one-on-one format and the fact that that two of these five studies had very low intensity interventions (Goldfeld et al., 2012;High et al., 2000).”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
InterpretationreasoningBook-sharing programs for caregivers may work regardless of parental education level, including families without an existing book-sharing routine.
“This is especially important as it suggests that caregiver directed book-sharing interventions can be successful across the full range of parental education, even when there has not previously been a routine of book-sharing (as is the case in families with less educated parents (Bus et al., 1995;Mol et al., 2008)).”
Quote in the paperSubstantial claim0 of 2 sources checkedClassified as probably not a substantial claim.
Study design and conductown dataThe study also investigated the effect of these interventions on caregiver book-sharing behaviors, beyond child language.
“We also went beyond investigating the effect of these interventions on child language by also investigating their effect on caregiver book-sharing behaviors.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationExpressive language may have improved more than receptive because book-sharing encourages children to speak actively.
“The better outcome for expressive language compared to receptive language could be a function of the fact that a central feature of book-sharing interventions is encouraging the child to take an active verbal role in the activity (Mol et al., 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mol et al., 2008 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe search covered educational, psychological, medical, and public-health databases broadly.
“It involved a wide-ranging search of educational, psychological, medical, and public-health databases.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataBoth modality models had degrees of freedom below the recommended threshold, so caution is needed.
“These findings should, however, be interpreted with caution as the degrees of freedom for both models were below the advised level.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductcitationThe analysis used robust variance estimation, which incorporated several effect sizes per study and outcome and yielded more precise estimates than pooling one effect per outcome.
“We used a novel statistical approach, namely, robust variance estimation.This allowed for multiple effect sizes per study per outcome to be incorporated, thus providing a more precise estimation than previously achieved using the pooled effect of each outcome (Tanner-Smith & Tipton, 2014).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Tanner-Smith & Tipton, 2014 source
May combine two claims.
InterpretationreasoningDialogic methods often prompt children to speak, which may explain the consistent expressive language advantage.
“Many of the dialogic techniques employed seek to elicit a verbal response and this promotion of child verbal participation may account for the consistent benefit in child expressive language.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe categorization into low and high dosage (<60 minutes vs >60 minutes of collective intervention time) was crude but instructive.
“The categorization into low and high dosage was necessarily crude (<60 minutes vs > 60 minutes of collective intervention time) but it was, nevertheless, instructive”
Quote in the paperNot a substantial claim
The paper relies on this without support.
No prior systematic review or meta-analysis has focused exclusively on RCTs of interactive book-sharing interventions delivered to carers.
“There has been no systematic review or meta-analysis that has focused exclusively on the findings of RCTs of the efficacy of interactive book-sharing interventions with carers of children.”
The paper relies on this without support.
Previous reviews focused only on psychological and educational evidence and did not search medical and public health databases such as Medline and EMBASE.
“Further, previous reviews have focussed exclusively on psychological and educational evidence and not searched medical and public health databases, such as Medline and EMBASE.”
The paper relies on this without support.
Most research on book-sharing interventions has been conducted in the U.S. and other high-income countries, with very little in low- and middle-income countries.
“Most research and evaluation of book-sharing interventions has taken place in the U.S. and other high-income countries.There has been very little research on book-sharing conducted in low and middle income countries (LMICs).”
The paper relies on this without support.
Intervention dose was expected to vary across studies.
“The intervention dose was expected to vary between studies, and both brief interventions and more intensive interventions involving multiple sessions were eligible for inclusion.”
The paper relies on this without support.
Book-sharing programs cost little and are easy to deliver compared with other early childhood development interventions.
“Given that, relative to other more comprehensive ECD interventions, book-sharing programs are inexpensive and can be easily delivered, it is surprising that so few evaluations of booksharing have been carried out in LMICs.”
The paper relies on this without support.
The language and pre-literacy benefits of interactive book-sharing only become fully apparent once children start school and receive formal literacy instruction.
“The language and pre-literacy skills that interactive book-sharing interventions help to build are only fully realized when a child enters the schooling system and begins to engage with formal literacy instruction.”
The paper relies on this without support.
Random sequence generation and allocation concealment are essential features of randomized controlled trials.
“These two aspects of study execution are central to the RCT design”
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The lack of statistically significant subgroup results by child age is consistent with prior meta-analyses that showed no age effects among parenting interventions focused during early childhood or spanning broader age ranges.
“The lack of statistically significant subgroup results by child age are consistent with the few prior meta-analyses that have similarly shown no age effects among parenting interventions focused during early childhood [9,22] or spanning broader age ranges from early to middle childhood [49] or birth to age 18 [62].”
From Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis (2021) · cites this paper as [9]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Discussion calls a nonsignificant dosage comparison significant
MajorThe discussion says the more-intensive interventions produced significantly greater expressive-language benefit, but the reported comparison has p=0.07 and a confidence interval that crosses zero.
“children benefitted significantly more in their expressive language when their caregivers had taken part in a more intensive intervention”
“There was weak evidence (p=0.07) that medium to high intensity interventions were associated with improved expressive language when compared with low intensity (B=0.33;CI: -0.04, 0.71).”
Sim intervention is classified as intensive despite 15 minutes of training
MinorThe methods define medium-to-high intensity as more than 60 minutes of contact time, whereas Table 1 places Sim in that category and lists one 15-minute session.
“| Sim | 2013 | Australia | Middle class | 49(26,23) | 66 | Tertiary | Y | Medium to high Group | Number learning 8/20 weeks | 1 (15 min) | | |”
“'medium to high intensity' (i.e. more than 60 minutes)”
Arnold study total does not match its group counts
MinorThe intervention and control counts shown for Arnold sum to 51, while the row reports a total of 41.
Reported 41 · recomputed 51
“| Arnold | 1994 | U.S | Middle | 41(24,27) | 29 | Tertiary | Y | Low | Video | No intervention | 4 weeks | 2 (15 min) |”
An included study falls below the stated minimum child age
MinorThe eligibility criteria set the child-age range at 12-72 months, but the reported starting-age range for included studies begins at 8.85 months.
“The population of interest was defined as children between the ages of one and six years (12-72 months)”
“Child age at the start of the studies ranged from 8.85 months (Goldfeld et al., 2012) to 66 months (Sim et al., 2014).”
Video and phone intervention counts disagree
MinorThe intervention description counts three video interventions and one phone intervention, but the modality analysis says only three video-or-phone interventions were excluded in total.
“Three of the interventions were administered in video format.”
“Interventions that consisted of only video or phone based intervention (n=3) were excluded from this analysis.”
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- Authors
- Dowdall, N., Melendez-Torres, G. J., Murray, L., Gardner, F., Hartford, L., & Cooper, P. J.
- Affiliations
- University of Oxford (GB)
- Cardiff University
- University of Reading (GB)
- University of Cape Town (ZA)
- Corresponding author
- Dowdall, Nicholas
- ORCID
- Venue
- Child Development
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-03-01
- Volume
- 91
- Issue
- 2
- Pages
- e383-e399
- ISSN
- 0009-3920 (ISSN-L)
- 1467-8624
- OpenAlex
- W2908423519
- Cited by
- 391
- References
- 62
- Citations by year
- 2026: 89 · 2025: 74 · 2024: 81 · 2023: 58 · 2022: 35 · 2021: 33 · 2020: 18 · 2019: 2 · 2018: 1
- FWCI
- 4.67
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Child Development (publishedVersion)
- PubMed (publishedVersion)
- CentAUR (University of Reading) (acceptedVersion)
- Funders
- Wellcome Trust
- Cancer Research UK
- British Heart Foundation
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
- Social Sciences › Education › Early Childhood Education and Development
- Keywords
- shared book reading, picture books, parent-child interaction, child language acquisition, expressive language, receptive language, intervention dosage, early childhood
- MeSH terms
- Books, Child, Child, Preschool, Female, Humans, Interpersonal Relations, Language Development, Male, Reading, Vocabulary
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